ArticleAmerican journal of public health2016
Community Health Center Utilization Following the 2008 Medicaid Expansion in Oregon: Implications for the Affordable Care Act.
Article in American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- What Interventions Work to Reduce Cost Barriers to Primary Healthcare in High-Income Countries? A Systematic Review.International journal of environmental research and public health · 2024Pooled it
- Medicaid Expansion and Medication Use Among U.S. Children with ASD or ADHD: A Repeated Cross-Sectional Analysis Comparing Before and During the COVID-19 Periods.Healthcare (Basel, Switzerland) · 2026Article
- Medicaid Eligibility Expansion Regardless of Immigration Status and Insurance Coverage Among Latinos Seen in Community Health Centers, 2018‒2023.American journal of public health · 2025Article
- Impact of Health Insurance Patterns on Chronic Health Conditions Among Older Patients.Journal of the American Board of Family Medicine : JABFM · 2023Article
- Financial impacts of the Medicaid expansion on community health centers.Health services research · 2022Article
- Changes in Insurance Coverage and Healthcare Use Among Immigrants and US-Born Adults Following the Affordable Care Act.Journal of racial and ethnic health disparities · 2021Article
- The Affordable Care Act: Effects of Insurance on Diabetes Biomarkers.Diabetes care · 2020Observational
- Disparities in Biomarkers for Patients With Diabetes After the Affordable Care Act.Medical care · 2020Article
- Quality of community basic medical service utilization in urban and suburban areas in Shanghai from 2009 to 2014.PloS one · 2018Article
- Medicaid's Impact on Chronic Disease Biomarkers: A Cohort Study of Community Health Center Patients.Journal of general internal medicine · 2017Article
- A Public Health of Consequence: Review of the April 2016 Issue of AJPH.American journal of public health · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesTo assess longitudinal patterns of community health center (CHC) utilization and the effect of insurance discontinuity after Oregon's 2008 Medicaid expansion (the Oregon Experiment).
methodsWe conducted a retrospective cohort study with electronic health records and Medicaid data. We divided individuals who gained Medicaid in the Oregon Experiment into those who maintained (n = 788) or lost (n = 944) insurance coverage. We compared these groups with continuously insured (n = 921) and continuously uninsured (n = 5416) reference groups for community health center utilization rates over a 36-month period.
resultsBoth newly insured groups increased utilization in the first 6 months. After 6 months, use among those who maintained coverage stabilized at a level consistent with the continuously insured, whereas it returned to baseline for those who lost coverage.
conclusionsIndividuals who maintained coverage through Oregon's Medicaid expansion increased long-term utilization of CHCs, whereas those with unstable coverage did not. POLICY IMPLICATIONS: This study predicts long-term increase in CHC utilization following Affordable Care Act Medicaid expansion and emphasizes the need for policies that support insurance retention.
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